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2005-679 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20050679 Date Issued: Friday, December 30, 2005 This is to certify that work requested to be done as shown by Permit Number P20050679 has been completed. Tax Map Number: 523400-295-014-0002-026-000-0000 Location: 89 MT. VIEW Ln Owner: JOY & MARK GRIFFIN Applicant: DORCAS BAKER This structure may be occupied as a: Fireplace By Order of Town Board Garage - 1 Car Attached TOWN OF QUEENSBURY Residential Addition Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, �'OI Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20050679 Application Number: A20050679 Tax Map No: 523400-295-014-0002-026-000-0000 Permission is hereby granted to: DORCAS BAKER For property located at: 89 MT. VIEW Ln in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: DORCAS BAKER 89 MT. VIEW Ln Fireplace UEENSBURY NY 12804 Garage Attached Q � Residential Addition $50,000.00 Septic Alteration Residential Total Value $50,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-679 456 SQ FT RESIDENTIAL ADDITION, 264 SQ FT GARAGE ADDITION, 192 SQ FT PORCH AND SEPTIC ALTERATION $75.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 27, 2006 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T Quee ury Yu da September 27, 2005 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Check Residential Plan Review: One& Two Family Dwellings Y/N/NI, (2)Full sets of plans Over 1,500 sq. ft.—Stamped Design Loads On Plans: 90 Wind Floor Loads 40 psf 70 Ground Snow Load Sleeping Areas and Attics 30 psf Calculations: NET ot�y"&'j Window Schedule With Glass Size Door Schedule/Main Entrance 36"Door Emergency Escape Or Bedrooms and Habitable Space Above/Below grade,5.7 sq.ft. Grade,5.0 sq. ft. 24"(h)x 20"(w)min. 44"Max.Height above floor Residential Check Paperwork Compliance and Inspectors Checklist: OK Dampproofing/Waterproofing Materials On Plans Foundation Drainage On Plans,if required 6"Drop in 10'Exterior Grade Framing Cross Section For Each Roof Line,Vertical Fire Stopping Every 10'Where ✓ Required Ice and Snow shield 24"Inside Exterior Wall/24"Inside Knee Walls Platforms At Exterior Doors - Stairway Headroom 6' 8'All Stairs 36"Width it Run and Rise Winder Run and Rise Spiral Not Allowed From 2d Story Smoke Detectors Battery Backup and Proper Location Bathroom Fixtures Proper Clearance Hall Width,36"min. Handrails More Than One Riser On Open Sides Railing and Guards>30"/Basement Stairs Included/Closed Risers More Than 4"in Ht. ztgl�fety Glazing Notes For Required Areas ge Fire Separation Garage Floor Sloped ttic Access Roof over 30"—22"x 30"/Crawl Spaces 18"x 24"Access i j Carbon Monoxide Detector Lowest Sleeping Level Soil Test Results, if required Septic To Well Or Water Line Separation All Paperwork Signed ` Permit NO.q� (� ! Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid / 742 Bay Road,Queensbury,NY 12804 "Recrecitipq Fee Dave Hatin,Director MdesQaueenSbUN net Phone: (518)761-8256 FAX: (518)745-4437 Principal Structure Building Pggnjt,4�-pplication Application & Plans subiect to review before issuance of a valid permit for construction. Instructions: A permit must be obtained before beginning construction. No inspections will be made until the applicant has received a valid building permit. All applicants'spaces on this appttcatiort`rTTrtst be completed and must appear on the application form. Applicant/Builder t `��-� C�ti'1�� • Owner. _ Address: - i 0 c.,.�( ��[12-C Address: YY1ex ' Home Phone: -I`[S c 3 3 Home Phone: Email Address: Email Address: ld is �C'2 To�,Lr, ttr�� Cell Phone: Cell Phone: FAX Phone: '7�� -C` FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Name: Address: Phone r�� ','I o 9 r r Location of proposed construction: Lot No. Legal Address:? t Itl i f r1 y Tax Map Number: Subdivision Name: Estimated Cost of Construction: $_50 1900 Proposed construction is for: Z Residenticll Use _Commercial Use Name of Business: r If proposed construction is an addition,what will use of new addition be? 'r 0-0clr`4 �� r, ��ICU0 on New Addition Alteration Proposed Construction 7„Floor 2^"floor Other Total Proposed structure (Occupancy Type) Sq.Ft. sq.ft. Sq.Ft. Square feet Height Ft,rE in. Single-Family Dwelling Two-Family Dwelling Townhouse Multifamily Dwelling Number of Units: Office Mercantile Manufacturin Other: Attached tiara 1, 2, 3 Type of Heating System: Electric, Oil Gam,'Woo Forced Hot Ir, Bas"iboarC Other: If a fireplace and/or woodstove are being installed,please refer to a separate application. Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review. The Building and Codes Office will allow commencement of your proposed project only after issuance of your permit. Declaration: Please sign below after you have carefully read the statement: To the best of my knowledge,the statements contained in the application,together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Codes,the Zoning Ordinance,and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. Further,it is understood that i/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance j being issued,as requested,by the Zoning Administrator or Director of Building and Codes,an As-Built Survey by a I licensed surveyor,drawn to scale,showing actual location of all new const ction. Dater Applicant/Builder Signature: The application of ated D ereby approved and permission granted f*cotion,recotPeffnif teratio o +d! i n r accessory structure as set forth above. Date: AuthorizL:\Sue Hemingway\Buildinrincipal Strucation.doc V:12/14/04 Fire Marshal's Office 'Town of Queensbury,742 Bay Road,Queensbury,NY (518)761-8205 Application for Fuel Burning Appliances & Chimneys applicable to solid fuel & vented gas appliances Date 4 a-�5 20 05 Permit No �lJ Application is hereby made to the Buildings&Codes Office for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. NOTE to applicant: Rough-in and Final Inspections are required. Applicant Information Fuel Burning Appliance Information j (circle appropriate words) Name:-fl-I + 01) 31 Stove: wood coal pellet gas Fireplace insert Address: ko - Fireplace, factory-built: wood gas f., . ,. Fireplace, masonry: wood gas t Furnace: wood gas oil 7t�e -r' Phone: If non-masonary applicance,please.provide Owner: (�f t` t-,C,- ' lam„ Manufacturer Name: Address: t1Cr t h t t , �cJ .!c 1} Model Number: i cA f' _ Chimney Information Phone: (circle appropriate words) Masonry block brick stone Flue the steel size: inches Exact Address: ` ? 1 1 n ! u) 11 Q of construction or installation Factory-Built Manufacturer name: Model Number: Note: Listed By: �Number: Construction IInstallation must con form to NYS Fire Prevention &Building Indicate(circle) chimney material: Code. Consult available Town of Queensbury Handouts regarding required inspections. Double wall / Triple ivall / hisulated / Direct venting Chimney Liner $- � Ca.�chata�-',rrr.Y7►�epa.�rtrn�t—Tome o�Qsz+eeasbuz�y', .N��-Yoz-� - -k 4/� Fire. Marshal Code# $Collected $Refunded Received from(refunded to): _ ,. address:--- — --- --- - A 173 3389 (190) Public SafLty ; t' A 233 2655 (230)Minor Saes DATE: i Lam' f On:es�R�wLt .- IOWw !/[t2N•o2 DGO White(Applicant) / Green(Fire Marshal) / Yellow(Bldg. Dept.) 1 Pink K Goldenrod(Cashier's Dept.) ' Pefrnit No. = 1 Building&Codes Office-Department of Community Development-Town of Queensbury Fee Paid 7 742 Bay Road,QueQnsbury,NY 12804 I I NOb Dave Hatin,Director codesQaueensbury.net Phone: (518gi 761-8256 FAX: (518) 745-4437 AccessoryStructure Building Permit Application g Application & Plans subiect to review before issuance of a valid permit for construction. Any structure other than the principal structure (i.e., house), typically a garage, shed, greenhouse, dock, deck, etc. (not necessarily limited to the list below). Refer to attached Informational Brochure No. 3 Instructions: A permit must be obtained before beginning construction. No inspections will be made until the applicant has received a valid building permit. All applicants' spaces on this application must be completed and must appear on the application form. Ph � g Applicant/Builder Owner: Address: "1 �_c?cam Address: �rtv4n .ri� li %u fcRn Home Phone: , �G' >> � Home Phone: d -/erg Email Address: Email Address: t %'r° g-en) Cell Phone: Cell Phone: FAX Phone: FAX Phone: Person responsible for supervision of work with respect to building and codes compliance: Name: s���rsa� � Address: Phoner7e,? .0'3- Location of proposed construction: Lot No. Legal Address: Tax Map Number.--"1 5 1 I q �1_ Subdivision Name: Estimated Cost of Construction: $ /0, 000 Does an accessory structure currently exist on the property? _Yes / YNo If YES, list all existing accessory structures: Proposed Construction I floor 2nd floor Total Proposed Height sq.ff. sq.ff. S ff. ft.&in. Open Porch Covered or Enclosed Porch (considered floor area&must comply to FAR [Floor Area Ratio] requirements if the structure is located in the Waterfront Residential zone. j 3-season porch is considered an enclosed porch. / 7� C cJ Deck Boathouse Boathouse with sundeck DOCK Shed Pole Barn Detached Garage 1, 2, 3 car Other Accessory Structure: I Applications are subject to Zoning Administrator, Code Compliance, and Structural Plan review. The Building and Codes Office will allow commencement of your proposed project only offer issuance of your permit. Declaration: Please sign below after you have carefully read the statement: To the best of my knowledge, the statements contained in the application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Codes, the Zoning Ordinance, and all other laws pertaining to the proposed work shall be complied with,whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, as requested by the Zoning Administrator or Director of Building and Codes, an As-Built Survey by a licensed surveyor, drawn to scale, showing actual location of all nevi constructio . 1 tt - A Ii Date: 1 �I Applicant/Builder Signature: '�' The application of dated is hereby approved and permission granted for the construction, reconstruction or alteration of a building/and or accessory structure as set forth above. Date: Authorized Signature: L\Sue Hemingway\Building.Permit.FORMS\Accessory Structure Permit Application.doc V:12/28/04 Application for Permit-Septic Disposal System Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256 1. OWNER INFORMATION: Office Use Location of installation: I D u l r7 'i u% ,t tt t File Permit No. os- Tax Map No. Owner's Name: t t � � ' 2 : Fee Paid C-c ; A.'.I. .. .... ....1(JQ ................................................................................... Address: 1�G t�t� U r r� li F t� t, 2. INSTALLER'S NAME : �J�J� °y1 � � coo r)�5-f PHONE NO. 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply#of bedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Computation = Total Daily Flow 1980 or older x 150 gal/bdrm = 1980- 1991 x 130 gal/bdrm = 1991 -present x 110 gal/bdrm = Garbage Grinder Installed yes _ 1 no Spa or Hot Tub Installed yes— ( no k- 4. PARCEL INFORMATION: (circle applicable information&indicate measurements) TonoaaDhvSoiLNature Ground Water Bedrock or Impervious Material . Domestic Water Supply I-IFlao qsand�lat what depth at what depth municipal > o ling am feet feet we Steep slope clay if well; water supply %slope other from.any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed professional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: ,lam(;(^ gallon (min. size 1,000ga1.) Tile Field: each trench ft. Total System Length:_ 0 ft. Seepage Pit(s): number of size of each: ft. by ft. Size of Stone to be used: # / depth or thickness feet Bed System Size: x Alternative System: length and/or size 6. HOLDING TANK SYSTEM: (if required) Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. 7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read) For your protection,please note that pursuant to Section 136-29 of the Code of the Town of Queensbury,any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature responsible person Date "I"o vtt Of QueellsI,ui•y sgwc m ur,ci Co'lla ,iel. ApI midix C. - • /1'l�a�►t)Ii.I�''1'tt)� I�'I[;l,I.> S- PA"ARANON [tt�tZt,lI1lt�[�lI�.I�I'[` �• of .. , n �•� PQh1tp L�I�Lr. 1N ir�►sE iZ• r! ' •ttt�ttL CJ�'Ntf; ., , eo G . •. IPjy \ Jam•-'"•I�M q.%o t �t'ft�ttCl!.�1itt�lt � .� q � • " l+��t7RPtlat 7. S.lC,rl`lATvl: B &Ll`{L'ORM.1"1.11O FO/ L •wu.rvrO.usLz rz,t wo%ol1 wl.90%w 6ww � Queensbury Building & Code Enforcement - Residential Final Inspection C Office No.(518)761-8256 Arrive?2;j0 am/ pD� am/pm Date Inspection request received: Inspector's Initials: n NAME: PERMIT#: LOCATION: DATE: TYPE OF STRUCTURE: Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Pf Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete n Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade _ Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet _ 6 inch clearance to sill plate NS —� Gas Valve shut-off exposed/regulator 18 inches above grade K� Interior privacy!trim/doors/main entrance 36 inches Bathroom/Kitchen waterti ht Safety Elazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum''/z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/''4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised_100405.doc Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive. _ I am/pm D�jart: am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: I LOCATION: ` DATE: TYPE OF STRU RE: Comments Yes No N/A � Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 'r> 3 inch Plumbing Vent through roof minimum 6 inches " Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safet lazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: / - Inter Connected: Batte backu : Carbon Monoxide Detector ' Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft,150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furn ce shut-off within 30 feet or within line of site Oil F ace shut-off at entrance to furnace area Fipffacefflot Water Heater operating ow water shut-off boiler IV Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum''/2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/O[Temporary/Permanent L:\Buiiding&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc Queensbury Building & Code Enforcement - Residential Final Inspection kaa _ Office No.(518)761-8256 / Arrive: � U� am/pn� ep . am/pm Date Inspection request receiv d: L�c�-- C� Inspectors mtials: ��ff_�__ NAME: 1. PERMIT#: S 7 LOCATION: DATE: TYPE OF STRUCTURE: �J Commen s Ye No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Com lete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers 610 Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safet glazing/Window in stairwells safety glazing Interior Smoke Detectors: / Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches.x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 s .ft.-150 s .ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 s .ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 A /✓l7%q'u- �oG�J^J�f o U% Enclosed Stairs Sheetrock Underside minimum%"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fire roofin /3/4 hour fire door/door closer Duct work Sealed pro vrl Gas Logs in Sealed cT lass nc ure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker /C ��j��e— Site Plan /Variance required Flood Plain Certification,if required tiS Okay to issue C/C or C/O [Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.doc OMW hI ave seen l w ects such a h�r�Ed. )I be °n this h©uses J�eVe/ � lly meaS°e ment 6/so 11s, trees, fen evidence o d the dis represent ces, etc f, tales set foh at/hake �r�RE on the diagraoz pgTE r Yr-Y Lt m - s RS$ c�.. i 1 MT. 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NOTICE FOAM INSULATION MUST BE COVERS=` BY A 15 MINUTE THERMAL B-ARRLE Town of Queensberry Fire Marshal 742 Bay Road Queensbury,NY 12804 761-SM/761-8206 fax 745-"37 Factory Built Gas Fireulace!stove Inspection Reyort Notice:New York State requires that all IIL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed Permit#� �,�_ (� Schedule Inspection z-A Time am m anytime n NameG�7P.P fT Address 6? ✓�u7�#4yu�/ ' " Boughal Appliance Manufacturer- —►���e Model Direct Vent -k-- Factory Built Chimney Flue Size Double Wall Triple Wall Insulated Yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase r_ Wall Penetration Y Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof penetration;2 feet above any combustible construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension (if any) Mantel Height above Vp opening Witness Operation Tank Placement(if LP) VVldte—BuWn;Dept. Pink—Fire Mar" Town of Queensbury Fire Marshal ilia 742 Bay Road Queensbury,NY 12804 761-8205/761-8206 fax 745-4437 Factory Built Gas Fireplace/Stove Inspection Itegort Notice:New York State requires that all lUL Listed,factory built appliances be installed according to the instructions and specifications contained in the Installation Manual accompanying the appliance.No deviation from the manufacturer's instructions or specifications is allowed. Permit# J' Schedule Inspection ^1 0 Time��am p�i ► anytime inspector Name l� r s�— Address r h. I-A) Rough Ii Final-e' Appliance Manufacturer_ ®2 Model# L C,f.,�_e�a 5z(j_0 Direct Vent Factory Built Chimney Flue Size Double Wall Triple Wall Insulated yes No N/A Comments Floor Protection Clearances to Combustibles (all sides) Firestop(s) Vertical Chase��� Wall Pcnetratiore.,, _ Vent Clearances to Combustibles Vent/Chimney Termination Chimney height must be 3 feet above roof �,/ � o t h l', rt penetration;2 feet above any combustible / construction within 10 feet Gas Shut-Off Valve Combustion Air Hearth Extension(if any) Mantel Height above f/p opening Witness Operation Tank Placement(if LP) X WMfe—B Biding V.PC Yellow C�agt r Pink—Fire MardW Framing / Firestopping Inspection Report C� Office No.(518) 761-8256 Date Inspection request received: �-�, Ado J Queensbury Building&Code Enforcement Arrive: am/pm Depart:; yla pm 742 Bay Road,Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: ^ �� LOCATION: VAT V RW X- INSPECT ON: Z L TYPE OF STRUCTURE: Y N Framing c N/A COMMENTS � +�-�' ..�. Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts I Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/z(w) 16 gauge 8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and water shield 24 inches from wall P Fire separation 1,2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade ~' Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Depart: am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: &Z�x PERMIT#: LOCATION: C L INSPECT ON: Z d TYPE OF STRUCTURE: Y N/A COMMENTS Framing RAO(,6-k op4w+2 Attic Access 2 "x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 `/2 w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft.or less on center Ice and water shield 24 inches from wall Fire separation 1, 2,3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade 00 \OA o )5"f; �$ ! try '� ..------�- NOV 2's 1W 0 L ID 0115 ERtC BUGQ RutCE 1-2885 9 RW98 enuNY t>vll�l LC \Yorr",\,3�.3-3099 (51 el)62 Framing / Firestopping Inspection Report �l�tip Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: -am/p epart:- atn/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: ' NAME: k-V-AL PERMIT#: �- LOCATION: INSPECT ON: d5� TYPE OF STRUCTURE: Y IN N/A COMMENTS Framing N_D � Jack Studs/Headers Bracing/Bridging 'S J����� G�� �' F4 Joist hangers e Jack Posts/Main Beams � Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 '/2 (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft.or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour ire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHemingway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 29,2003 e-ry Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: L�� (Ajc2p Queensbury Building & Code Enforcement Arrive: am/ m Depart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: - �— NAME: 10k1zG•e 4 PERMIT #: 79 LOCATION: mf- le-t/ 4/. INSPECT ON: i z °5� TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent / Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 0 P.S.I for 15 minutes 00 vo'Insulation Residential Check Commercial Check Proper Vent Attic Vent Duct / Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape BP'A-,.,k '-J� --4 COMMENTS: LAPam Whiting\Building&CodeAnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 - �/p ", Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pm Depart: !- am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: _- - A/I/ NAME: ' C � PERMIT #: LOCATION: V°t �recj 4-4.-R, INSPECT ON: 11 �l a TYPE OF STRUCTURE: Y N N/A Rough Plumbing / Nail Plates Plumbing Vent/ Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/ change of direction Pressure Test Drain / Vent Air/ Head ,�-�� 7�,q�, + ,✓' 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping 5 �rA�) Air/ Head 50_P.SJ for 15 minutes nsulation Residential Check/ Commercial Check Proper Vent Attic Vent c,,1-1 Duct / Hot Water Piping Insulation �� �� ��rul If required unheated spaces Combustion Air Supply for Furnace L S uct work sealed properly / No duct tape "/66-D '4Pp+k6o& �r,/1 Tievy COMMENTS: LAPam Whiting\Building&Codes\lnspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building & Code Enforcement Arrive: am/pT geepart: am/pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: NAME: PERMIT ##: LOCATION: i Chi INSPECT ON; TYPE OF STRUCTURE: N N/A \'RoGgh Plumbing / Nail Plates Plumbing Vent/ Vents in Place ^� 1 /z inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet / change of direction Pressure Test Drain / Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: V 5 /o LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection request received: r tL Queensbury Building&Code Enforcement Arrive: am/ Depart: _ m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: OS—(079- LOCATION: INSPECT ON: TYPE OF STRUCTURE: F6ng Y NJ N/A COMMENTS Attic Access 22"x 30"minimum S Jack Studs/Headers Bracing 1 Bridging _ Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls i - Metal Strapping for Notches Top Plates d 15 1 V2(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center ��1Qb�' Ice and water shield 24 inches from wall �j rU 1121�1,, 7 U G*AAJ&?9- 1 T Fire separation 1,2, 3 hour Fire wall 2, 3,4 hour Fi stopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side '/z inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Framing / Firestopping Inspection Report r F Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/p Part: r m/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initials: NAME: PERMIT#: 0 1(U LOCATION: V i INSPECT ON: TYPE OF STRUCTURE: Y N N/A COMMENTS Framing Attic Access 22"x 30"minimum Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %z(w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor olts 6 ft. or less on center e and water shield 24 inches from wall Fire separation 1,2, 3 hour Fire wall 2, 3,4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade Foundation Inspection Report P P Office No. (518) 761-8256 Date Inspecttionjequ r ive _ r Queensbury Building&Code Enforcement Arrive: f—A!1 5 a pm Depart: a s 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial NAME: (�Nrl� Y RMIT#: LOCATION: _ ` _ `INSPECT ON: TYPE OF STRUCT Comments Y� N N/A F ngs Piers Monolithic S1ah Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place !— Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: _ 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfiil Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation-Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASucHemingwayiSuiI ding.Codes.Inspection.FO RMSToundati on Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection request received: l l Queensbury Building & Code Enforcement Arrive: am/pr>Q , apepart: ��nJpm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: J NAME: PERMIT #: D-5—. LOCATION: /L( INSPECT ON: Ili 41l TYPE OF STRUCTURE: Act CL Y IN N/A &.uA h Plumbin Plates '0 &Y,-- Plumbing Vent J Vents in Place 1 1/2 inch minimum Drain Size Washing Machine Drain 2 inch minimum leanout every 100 feet/ change of direction Pressure Test Dr0ea Air 5 Pft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head 50 P.S.I for 15 minutes Insulation / Residential Check/ Commercial Check Proper Vent Attic Vent Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly / No duct tape COMMENTS: LAPam Whiting\Building&Codes\Inspection Forms\Rough Plumbing Insulation Report.revised Nov 17 2003.doc Revised February 15,2005 - Ic PW Septic Inspection Report Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: am/px epart: am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: J n NAME: � PERMIT NO.: LOCATION: INSPECT ON: { RECHECK: Comments and/or diagram Soil Type: S Lo Play Type of Water: Munici 1/Well Water Waterline sepa istance ft. Well separation distance ft. Other wells: ft. Absorption Field: Total length ft. Length of each trench U ft. Depth of trenches ft. Size of Stone �$?/ Seepage Pits: Number Size: x Stone Size: Piping SI)FS Type Building to tank Gp Tank to Distribution Box K « Distribution Box to Field/Pit Opening Sealed: Y/N/Partial End Caps Location/Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as r Plot Plan Y N / —� ,� Engineer Report and As-Built Y N Location of Syst on Property: Front Rear Left Side Right Side Middle Front Middle Rear System Use 4Statpproved Partial Approved and needs to be re-inspected,please call the Building&Codes Office Disapproved Last revised 1/6/05 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection req est received: _ Queensbury Building&Code Enforcement Arrive: am/ Depart: pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial NAME: `�—� `�e 1� PERMIT#: LOCATION: V—V—\ _ INSPECT ON: TYPE OF STRUCTURE: Comments �.�_----- Y N N/A Footings Piers Monolithic Slab _ Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place- Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: _ 12 inch width C 6 inches above footing d—fillApproval t poly for wet areas under slab Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway,BuiIding.Codes.Inspection.FORMSToundation Inspection Report.doe January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: t d G5 Queensbury Building&Code Enforcement Arrive: anv Depart: prn _( 742 Bay Rd., Queensbury,NY 12804 Inspector's Initia s: -9 NAME: )`I S Q. r PERMIT#: jD9)r l LOCA':CION: _ ;,� _ INSPECT ON: _l D 7S d _ TYPE OF STRUCTURE: a Comments N/A Footings �-----------_ _^___� Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. _ Foundation/Wallpour Reinforcement in Place Foundation Dampprooiing Foundation/Waterproofing Type of Dampproofing/Waterproofing _ 1 Footing Drain Daylight or Sump Footing Drain Stone: — 12 inch width 6 inches above footing ,fa-F44�poly for wet areas under slab Backfi Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.Inspection,FORMSToundati on Inspection Report.doe January M 2003 +� pm Foundation Inspection Report Office No. (518) 761-8256 Date Inspection request received: � Queensbury Building &Code Enforcement Arrive: am/pm Depart:�� arry tr 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials:/ MX, !) NAME: PERMIT#: 05 LOCATION: W1 VVV 1,2 SPECT ON: - TYPE OF STRUCTURE: Comments FTT Y N N/A Footings Piers Monolithic Slab Reinforcement in Pl.ace� T11potontractor is responsible for roviding protection from freezing for 48 hours following the placement of the concrete. Matpkals for this purpose on site. � ndation/Wallpour Reinforcement in Place _ Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- _ Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building.Codes.InspectionTORM SToundation Inspection Report.doc January 28,2003 I --/� Foundation Inspection Report Office No. (518) 761-8256 Date Ins#re*,,eo: _ Queensbury Building&Code Enforcement Arrive: Depart:�" pm 742 Bay Rd.,Queensberry,NY 12804 InspectoNAME:LOCATION: TYPE OF STRUCTURE: Comments _�-�--- Y N N/A a otings ------------------ C''S Piers _ Monolithic Slab `�� Reinforcement in Place -�-- The contractor is responsible for providing protection from freezing %�� for 48 hours following the placement , of the concrete. Materials for this puryose on site. _ Foundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampprooting i Waterproofing I Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfril Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L;\SueHemingway\Building.Codes.Inspection.FORMS\Foundation Inspection Report.doe .January 28,2003 Foundation Inspection Report Office No. (518) 761-82.56 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: anvpm Depart:-�?�am0 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:e,;,M _A 6,:: NAME: LPERMIT#: LOCATION: _ INSPECT ON: TYPE OF STRUCTURE: un —� Comments Y N N/A goo ootings -------- —_ Piers Reinforcement in Place The contractor is responsible for �► �-r providing protection from freezing for 48 hours following the placeinent �� � of the concrete. Materials for this purrpose on site. Foundation/Wallpour Reinforcement in Place — Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing r Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil Toly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:1SueHemingway',Building.Codes.Inspection.TORMS\Foundation Inspection Report.doc January 28,2003 10/06/2005 09:42 5187980338 HILLTOP 0V..:t 04 ()5 3U: 1.9e Hutchins FnCineeri,n6 l�lt+�'�4��uaun rNut* G` M H@Wend Road Queensbury,NY 12W4 Hutchins En ineeri Phone:(518)745-03307 9 ng Fax(518)745-0308 67 October 4, 2005 Mr. Tom Albrecht VIA FAX 798-0338 Hilltop Construction Co, ? Page Total 51 Crowiey Rd, Hudson Falls, NY 12839 Reference: Soils Percolation test, 89 Mountain Yew Lane, Town of Queensbury Dear Tom: On this date, at your rust, this offm conducted one soils percolation test at the referenced property. The hest was performed 15 feet north of the new in-place septic tank and at a.depth of 24" into native material. Eight runs were performed, resulting ir, a stabilized percolation rate aF 4 minute, 10 seconds per inch. I trust this information is sufficient for your immediate needs, 1 you require any further assistance please do not hesitate to contact us. BeZas ks, G, 0.,Thomas Hut Inc P.E. rheckedByj/D MECcheck Compliance Report New York State Energy Conservation Construction Co > p- MECcheck Software Version 3.3 Release lc Data filename:C:\Documents and Settings\Eric\My Documents\Res Check files\GRIFFEN RES.&HILLTOPS ?005 TITLE:LIVING,PORCH&GARAGE ADDITION +.` COUNTY: Warren STATE:New York HDD:7635 CONSTRUCTION TYPE:Detached I or 2 Family HEATING TYPE:Non-Electric DATE:08/19/05 DATE OF PLANS:AUG 19,2005 PROJECT INFORMATION: GRIFFEN RESIDENCE&HILLTOP CONSTRUCTION COMPLIANCE:Passes Maximum UA= 110 Your Home= 110 0.0%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 456 38.0 0.0 14 Wall 1:Wood Frame, 16"o.c. 543 19.0 0.0 24 Window 1:Wood Frame,Double Pane with Low-E 35 0.320 11 Window 2:Wood Frame,Double Pane with Low-E 7 0.320 2 Window 3: Wood Frame,Double Pane with Low-E 14 0.340 5 Window 4:Wood Frame,Double Pane with Low-E 25 0.340 9 Door 1:Glass 40 0.300 12 Door 2:Glass 20 0.310 6 Basement Wall 1:Wood Frame,7.0'ht/2.3'bg/7.0`insul 437 19.0 0.0 27 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,specifications,and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page,they are attesting that to the best of his/her knowledge,belief, and professional judgment,such plans or specifications are in compliance with this Code. Builder/Designer t Date Q 11 E � MECcheck Inspection Checklist New York State Energy Conservation Construction Code MECcheck Software Version 3.3 Release lc DATE:08/19/05 TITLE:LIVING,PORCH&GARAGE ADDITION Bldg. J Dept. { Use ! { Ceilings: [ ] J 1. Ceiling 1:Flat Ceiling or Scissor Truss,R 38.0 cavity insulation Comments: J Above-Grade Walls: [ ] { 1. Wall 1: Wood Frame, 16"o.c.,R-19.0 cavity insulation { Comments: J Basement Walls: [ ] { 1. Basement Wall 1:Wood Frame,7.0'ht/2.3'bg/7.0'insul,R 19.0 cavity insulation { Comments: { J Windows: [ ] J 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor:0.320 { For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ ]Yes[ ]No J Comments: [ ] { 2. Window 2:Wood Frame,Double Pane with Low-E,U-factor:0.320 { For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ )Yes[ ]No { Comments: [ ] { 3. Window 3:Wood Frame,Double Pane with Law-E,U-factor:0.340 { For windows without labeled U-factors,describe features: J #Panes Frame Type Thermal Break?[ )Yes[ )No J Comments: [ ] { 4. Window 4:Wood Frame,Double Pane with Low-E,U-factor:0.340 { For windows without labeled U-factors,describe features: { #Panes Frame Type Thermal Break?[ ]Yes[ ]No { Comments: ! J Doors: [ ] J 1. Door is Glass,U-factor:0.300 J #Panes Frame Type Thermal Break?[ )Yes[ )No Comments: [ ) { 2. Door 2:Glass,U-factor:0.310 J #Panes Frame Type Thermal Break?( ]Yes[ ]No { Comments: ! { Air Leakage: [ ] J Joints,penetrations,and all other such openings in the building envelope that are sources of air J leakage must be sealed. [ ) j Recessed lights must be 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non-IC rated,the fixture must be installed with a 3"clearance Born insulation. ! ( Vapor Retarder: [ ] ( Required on the warm-in-winter side of all non-vented flamed ceilings,walls,and floors. ( Materials Identification: [ ] J Materials and equipment must be installed in accordance with the manufacturer's installation instructions. [ ] J Materials and equipment must be identified so that compliance can be determined. [ ] ( Manufacturer manuals for all installed heating and cooling equipment and service water heating J equipment must be provided. [ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I J Duct Insulation: [ ] J Supply ducts in unconditioned attics or outside the building must be insulated to R-i 1. [ ] i Return ducts in unconditioned attics or outside the building must be insulated to R-5. [ ] J Supply ducts in unconditioned spaces must be insulated to R-11, [ ] J Return ducts in unconditioned spaces(except basements)must be insulated to R-2. ( Insulation is not required on return ducts in basements. J i Duct Construction: [ j J All joints,seams,and connections must be securely fastened with welds,gaskets,mastics J (adhesives),mastic-plus-embedded-fabric,or tapes. Duct tape is not permitted. ( Exception:Continuously welded and locking-type longitudinal joints and seams on ducts J operating at less than 2 in.w.g.(500 Pa). [ ] J Ducts shall be supported every 10 feet or in accordance with the manufacturer's instructions. [ ] J Cooling ducts with exterior insulation must be covered with a vapor retarder. [ ] J Air filters are required in the return air system. - [ j ( The HVAC system must provide a means for balancing air and water systems. I J Temperature Controls: [ ] J Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space J temperature set point of the largest zone. I I Electric Systems: [ ] J Separate electric meters are required for each dwelling unit. J Fireplaces: [ ] ( Fireplaces must be installed with tight fitting non-combustible fireplace doors. [ ] I Fireplaces must be provided with a source of combustion air,as required by the Fireplace construction J provisions of the Building Code of New York State,the Residential Code of New York State or J the New York City Building Code,as applicable. J Service Water Heating: [ ] J Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. [ ] J Insulate circulating hot water pipes to the levels in Table 1. J i Circulating Hot Water Systems: [ ] J Insulate circulating hot water pipes to the levels in Table 1. I J Swimming Pools: [ ] i All heated swimming pools must have an on/off heater switch and require a cover unless over 20% J of the heating energy is from non-depletable sources. Pool pumps require a time clock. 1 J Heating and Cooling Piping Insulation: [ ] J HVAC piping conveying fluids above 105 OF or chilled fluids below 55'F must be insulated to the ( levels in Table 2. r t Table 1: Minimum Insulation Thickness,for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Ran e F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only)